Banca de QUALIFICAÇÃO: MURIELLY PRISCILLY DE MEDEIROS MAIA

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
DISCENTE : MURIELLY PRISCILLY DE MEDEIROS MAIA
DATA : 31/05/2019
HORA: 14:00
LOCAL: DEPARTAMENTO DE ODONTOLOGIA - UFRN
TÍTULO:

PRODUCTION AND VALIDATION OF THE Psychosocial Attention Supply INDICATOR IN BRAZIL

PALAVRAS-CHAVES:

Service Indicators; Evaluation of Health Services; Mental Health Services; Regionalization; Spatial Analysis.

PÁGINAS: 63
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
SUBÁREA: Epidemiologia
RESUMO:

INTRODUCTION: The Psychosocial Attention Network (RAPS) is intended for the care from severe and persistent mental suffering, or abusive use of alcohol and other drugs, and is the main strategy to confront the Manicomial / Asylum Model, principles of inclusion, psychosocial rehabilitation and freedom. OBJECTIVE: To produce and validate the Indicator of Supply of Psychosocial Care  in Brazil. METHODS: An ecological study was carried out in which 37 variables were analyzed that reflect the structure and human resources of the RAPS by Immediate Regions of Urban Articulation, for which descriptive and spatial analysis were performed using the Moran Global and Local techniques. For the production and validation of the indicator, the exploratory and confirmatory Factorial Analysis technique was applied, through the criterion and construct validations. RESULTS: Spatial distribution of UBS variables, General Hospital, Family Physicians, Psychiatrist, Psychologist, ACS and Occupational Therapists presented spatial autocorrelation (I> 0.4, p <0.05), with concentration of areas with high rates in the Midwest, southeast and part of the south. The Bartlett sphericity test obtained p <0.05, the KMO was 0.732, the commonalities had a load higher than 0.06. Seven factors were extracted: Factor 1 (RAPS Basic Attention Profile); Factor 2 (Profile of the RAPS Support Team); Factor 3 (Profile of Psychiatric Attention of RAPS); Factor 4 (Profile of the RAPS Residential Regime); Factor 5 (Profile of CAPS); Factor 6 (Profile of Therapeutic Residences in RAPS) and Factor 7 (Profile of High Complexity in RAPS), explaining jointly 70.5% of Total Variance. The spatial distribution of the indicator shows that the supply of Psychosocial Care is Very Precarious in the North Region; from Precarious to Regular in the Northeast Region; and Good or Very Good in the Central-West, Southeast and South Regions. The validation of the construct was achieved with 60% of the sample, for which the same factors that explained 70.8% of the total variance were formed, and the criterion validation showed that the Satisfactory and Very Satisfactory categories were related to the best socioeconomic indicators. CONCLUSIONS: There is an inequality in the distribution of Psychosocial Care in Brazil, with better levels of supply in the more developed regions.

MEMBROS DA BANCA:
Presidente - 2305247 - ISABELLE RIBEIRO BARBOSA MIRABAL
Interna - 1231563 - ANA KALLINY DE SOUSA SEVERO
Interno - 911.028.804-00 - WILTON RODRIGUES MEDEIROS - UFRN